| Doctor Name: | MARY E NOLAND |
| NPI Number: | 1376539676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MBA, MA, CCC-SLP |
| License Number: | SLP 2151 |
| Business Practice Address: | 5205 W Winston Dr Laveen, AZ - 853392819 |
| Business Phone Number: | 6025780515 |
| Business Fax Number: | 6022377791 |
| Mailing Address: | Po Box 760, LAVEEN |
| State: | AZ |
| Postal Code: | 853390760 |
| Phone Number: | 6025780515 |
| Fax Number: | 6022377791 |
| NPI Enumeration Date: | 09/22/2005 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP 2151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |